Care Home: Cedar Court Nursing and Residential Home

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What the care home does well The staff give good care with dignity, privacy and they relate well to the residents. The staff are well trained are committed to the `end of life care` that the home gives. ` My mothers` needs are always fully met` ` The staff always show a very caring attitude and they are professional at all times` ` Always kept clean and comfortable` `We are both extremely happy with her care` The residents live in a clean, pleasant and well - maintained home with bedrooms that are personalised and suit their needs. The home gives the residents a good and nutritious diet and they have choices in what they have to eat. ` The food`s very good, we can choose what we want to eat`. What has improved since the last inspection? There were no requirements or recommendations made at the last inspection. What the care home could do better: There were no requirements made on this visit but there were recommendations made. Some of the care plans need to be reviewed and updated to make sure that the staff have the correct information. The numbers of all of the medicines received into the home should be recorded and signed for on the medicine records. There should always be sufficient staff on duty to make sure that the residents` needs can be met in a timely manner. Locks should be fitted to the bedroom doors to give the residents the option of locking their doors for privacy and security. Where the residents need to use a hoist to be moved they should have an individual sling of the correct size, which will also reduce the risk of cross infection. Arrangements should be made to make personal money available at the week ends. Key inspection report Care homes for older people Name: Address: Cedar Court Nursing and Residential Home 27-29 Long Street Wigston Magna Leicestershire LE18 2BP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Anthea Richards     Date: 0 6 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Cedar Court Nursing and Residential Home 27-29 Long Street Wigston Magna Leicestershire LE18 2BP 01162571330 01162812378 cedarcourt@highfield-care.com www.schealthcare.co.uk Southern Cross Care Centres Limited Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 52 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of persons that can be accommodated at Cedar Court Nursing and Residential Home is: 52 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Both Whose primary care needs on admission to the home are within the following categories : Old Age, not falling within any other category - Code OP Physical Disability - Code PD Date of last inspection Brief description of the care home Cedar Court Care Home is a care home providing nursing care, mainly palliative care, with some personal care and accommodation for 52 people. There are registered nurses on duty 24 hours a day. Southern Cross Care Group, who has a number of Care Homes for Older People Page 4 of 29 Over 65 52 0 0 52 Brief description of the care home care homes within Leicestershire, owns the home. The home is located in Wigston Magna close to the town centre of Wigston where residents can visit pubs, shops, the post office and other amenities. The home is easily reached by private or public transport and has parking in the grounds. The home is a purpose built three-storey building with a level entrance. The upper floors can be reached by using the passenger lift or stairs. There is a choice of dining rooms and lounges. The home has fortyeight single bedrooms with twenty-one having en-suite facilities. There are two double bedrooms without en-suite facilities. The home has a garden and patio area to the front and back of the building which is well maintained and which the residents can use in the better weather. The home can be contacted by telephone, fax or email. The fees range from £450.00 to £850.00 There are extra charges for hairdressing, chiropody, newspapers and personal items. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit we [throughout the report the use of we indicates the Care Quality Commission], spent five hours reviewing information received by the Care Quality Commission [CQC] since the last Key Inspection on the 24th April 2007 and Annual Service Review on the 23rd April 2009. The visit took place on the 6th April 2010 and lasted nine hours. During the visit we checked all the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to three of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents and their families. With their permission the residents bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff Care Homes for Older People Page 6 of 29 records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was checked. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We checked the Annual Quality Assurance Assessment [AQAA] that the home had sent to us. This describes the services provided at the home for the residents, how the home is hoping to improve services and statistics about the residents and the staff. The comment cards that we sent out were seen and comments made were noted. During the visit we spoke with the homes manager, the staff, the residents and visitors to the home. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Older People Page 8 of 29 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents needs are assessed by a senior member of staff, before moving in and they have good information to help them make the right choice about the home. Evidence: The residents or their families who were case tracked and others who we spoke with told us that they had seen the Statement of Purpose and Service user Guide. The Statement of Purpose contained thorough information that described the services that the home provided. These documents could be made available available in other formats including large print and other languages to give as many people as possible the opportunity to read them. The manager or the deputy visits all prospective residents to complete a pre assessment of the residents needs, to make sure that the home can meet them and gives them a full picture of the resident before they are admitted. It also gives the resident the opportunity to meet someone from the home who they can recognise Care Homes for Older People Page 11 of 29 Evidence: when they are admitted. Prospective residents are given the opportunity to visit the home. Assessments by the home and social services were seen in the residents care plans and the residents and the families spoken with said that they had seen the manager or the deputy before they came in. The home tells us that they have improved the communication between the home and the Social aservices care managers to make sure that they have as much information about the residents as possible. Comments that we received from the surveys that we sent out and on the day of the visit included: Everything fine with welcoming my mother into the home The manager visited us and we visited the home Was excellent, we had full information before she was admitted The staff spoken with told us that they always knew about the resident before they were admitted and key workers are allocated to them. The current registration certificate from the Care Quality Commission (CQC) with the latest report and an up to date public liability insurance certificate were available in the main entrance. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff meet the care needs of the residents well, with privacy, dignity and respect. Evidence: The records for the residents who were case tracked were found to contain good individual evidence of the care being given to them and reflected the care that they needed. There was evidence that most of the care plans are regularly reviewed and the residents and the families spoken with confirmed that they could be involved and were aware of the care to be given and that they were happy with it. Two areas in one of the care plans had not been updated for two months although the rest were up to date. There are records of the residents weight and a nutritional assessment in the care plans to make sure that they are eating properly and not losing weight. The home were making good progress with person centred care plans, making sure that the residents have their care as they would like it and that they continue their interests. Care Homes for Older People Page 13 of 29 Evidence: There are records of the involvement of G.P.s, district nurses, chiropodist and optician, where needed in the care plans, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. Comments received on the day and in the surveys received by us included: My mothers needs are always fully met The staff always show a very caring attitude and they are professional at all times Always kept clean and comfortable We are both extremely happy with her care Excellent care , couldnt be better Staff respond well to the residents Very happy here Are looked after well Couldnt fault We also received comments that a visitor felt that the home had gone down and that the staff were unhappy. We found no evidence of this through the surveys, talking with the residents, families or staff. The daily record of care was up to date and there was a full record of the residents day or night. We saw residents being treated with dignity and respect when staff spoke with them and undertook their care, particularly when moving them. There were risk assessments in place to cover all the identified risks for the residents and how the staff should manage those risks. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. Care Homes for Older People Page 14 of 29 Evidence: Medication records for the case tracked residents were in order. Medicines are given by the registered nurses who have regular updating in medicines. We saw that the medicines were administered individually and the residents were seen to be taking them. Medicines are supplied in a monitored dosage system where each tablet is in a separate pop out card, which is a safe method of administration, helping to make sure that the resident is always given the right medicines. One of the medicine administration records had been hand written and correctly signed by two of the nurses but a record of the number of the tablets received had not been written on the sheet. this would make it difficult to check that the amount remaining was correct. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager carries out a monthly written audit of the medicines and the medicine sheets to make sure that they are correct. The controlled (dangerous) drugs were checked and found to be correct with two signatures for every entry. Staff spoken with were aware of the regulations for administration and storage of controlled drugs. There was a self-medicating policy in place but there were no residents looking after their own medicines at that time. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents enjoy the activities that they want to and have their spiritual and nutritional needs met. Evidence: There is a full time activities organiser employed in the home, who told us that she is well supported and that this has improved and feels that she is able to instigate activities and is able to buy the equipment needed; she has just been able to buy a plastic greenhouse for the residents to grow plants. These were being grown on the windowsills in the lounge at the time. She holds a breakfast club three times a week for those less dependent residents where they can have a cooked breakfast with tables as at home with teapots etc. She is planning to have a similar time at tea time where the residents will be able to invite their families and friends in for tea. Activities provided include quizzes, reminiscence groups, crafts. There were several partly completed jigsaw puzzles around the lounge which residents were putting pieces in as they passed. Care Homes for Older People Page 16 of 29 Evidence: A lady was sewing and some were watching television. The chairs were in groups so that residents could talk together and it was easier to have activities. The activities organiser regularly spends time with those in bed, talking with them, giving them a hand massage. The home have put a computer into the home and is working with the 4th age programme to give the residents a wide range of activity. They are buying a large screen so that programmes that are shown after the residents may have gone to bed and they wish to see can be shown via the i-player. Comments received from surveys and on the day of the visit included: There is plenty to do if I want to Offer more mental stimulation in the way of occupational therapy More outside entertainers and themed activities have been put in place. The staff were seen to be spending individual time with the residents reading the newspaper, doing a jigsaw, looking at pictures, music. The residents, families and the staff told us about the activities and how they enjoyed them. they said that there was enough to occupy them. There is a regular religious service held in the home and clergy of all denominations may visit whenever the residents would like. The hairdresser visits weekly and has a room that has been fitted as a hair salon. Residents were visiting on the day of the visit and told us that they appreciated having it. The families spoken with said that they were made very welcome in the home, which we saw whilst we were there. The residents spoken with said that the food was good and that they had a choice of what they had. The menus were varied and were changed regularly. Care Homes for Older People Page 17 of 29 Evidence: Comments made by the residents and families included: Enjoys the food and is eating much better since being in the home Good choice of menu and can choose whatever I would like The residents choose from the choices on the menu, if there is nothing that they like they may choose something else. We spoke with the residents during their lunch, which was served attractively and they told us that they were enjoying. The cook is happy with the quality and amount of food supplied. She is aware of different diets such as vegetarian and diabetic. The staff were seen to be sitting with individual residents helping them with their meals. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. Evidence: There was a complaints policy in place which gives the details of how to complain and who to complain to in the home if they needed to. This can be made available in a large print and other languages. The home has received five complaints since the last Annual Service Review(ASR), four of which have been resolved and one is currently being investigated. There is a good audit form containing all the information and dates required. The residents and the families spoken with were aware of the policy, of how to complain and who to complain to. They were happy that their concerns would be listened to and acted on. The staff spoken with were aware of how to handle any complaints. There has been one safeguarding referral that is currently being investigated by the police. The staff spoken with were able to describe how they would deal with an allegation of abuse, knew the areas where abuse could happen and could describe the process that Care Homes for Older People Page 19 of 29 Evidence: they would go through if they suspected any abuse. They confirmed that they had had training in safeguarding adults and whistle blowing and the manager and the records seen supported this. The staff are aware of the Mental Capacity and Deprivation of Liberty. They were confident that the management would handle any issues correctly. We looked at the accident book, which had been completed correctly. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are protected by the policies and procedures in the home to provide a safe and pleasant environment. Evidence: Cedar Court is a purpose built building close to the town of Wigston in Leicester. There are bedrooms on the ground and first floors and the lower ground and first floors can be reached by the stairs or the passenger lift. There are lounges and a dining room on all of the floors that were clean, bright and well decorated, with suitable seating for the residents. The home was clean, warm and welcoming on our arrival, however there was an unpleasant odour on the first floor that had cleared by the late morning. A comment received on the surveys that we sent out said: The home maintains a clean, safe,warm and welcoming environment. All of the bedrooms seen had been personalised and were found to be clean and well decorated. The residents spoken with were happy with their rooms and said that they Care Homes for Older People Page 21 of 29 Evidence: were able to bring their own belongings in with them. The bedrooms did not have locks on the doors, so the residents did not have the choice of locking their bedroom door. There was evidence of equipment in the home to help the residents, such as wheelchairs and special mattresses. The residents who needed to move with the help of a hoist did not have individual slings, which could result in the wrong size sling being used and a risk of cross infection. There was a good provision of bathrooms in the home and most were were found to be clean and clear of any items that could cause a hazard for the residents. Two of the bathrooms did contain toiletries that could create an infection control risk or a hazard if anyone drank them but these were removed before the end of the visit. There was a patio area and garden that were easily reached by the residents and made a pleasant place to sit for them. The residents and the families spoken with were happy with the cleanliness of the home, and told us that the staff worked hard to keep it clean. There are staff employed to complete the cleaning in the home and they have had training in health and safety. The cleaning products are stored in a locked cupboard, which we saw. The records for hot water testing had been completed and all the temperatures were within the recommended levels. The fire records for testing alarms and fire drills and training were looked at and found to be up to date. The staff spoken with told us that they had regular training and fire drills. There was an up to date registration certificate and public liability insurance certificate displayed in the entrance Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment policy and the staff training meet the residents needs and protect their safety. Evidence: We looked at three staff files and the required information was complete in all of them. This included evidence of identification, adequately completed application forms, two written references, a Criminal Records Bureau (CRB) check and a Protection of Vulnerable Adults check. The manager makes sure that all the required documentation is in place before an employee starts work. This was confirmed by the staff spoken with, who told us that they could not start until they had all the paperwork in place. The staff spoken with confirmed that they had received recent training in moving and handling, dementia awareness, health and safety and safeguarding. The manager has a matrix with all the training courses on it so that she can keep their training up to date. The residents and the families spoken with felt that the staff were well trained to do their job and that there were enough staff to look after them. Care Homes for Older People Page 23 of 29 Evidence: We did receive one comment from a family that their relative had to wait an hour for somebody to attend to her. This was discussed with the manager who arranged to speak with the family. The call bells were seen to be answered promptly on the day of the visit. The induction programme that all the staff complete contained all the required mandatory training needs. The numbers of staff holding or undertaking a National Vocational Award (NVQ) at least at level 2 or above complies with the required numbers. The home encourages the staff to progress and achieve these awards. The National Vocational Qualification is a qualification for care staff to make sure that they receive training in the needs of the resident group whom they are caring for. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents safety is well protected by the practices in a home that is run in their best interests. Evidence: The manager is an experienced manager both in care homes and most recently in the health service in palliative care. She has been in the home for six months and has applied for registration with the Care Quality Commission. She is also applying to manage another home which is on the same site. She has achieved the Registered Managers Award, which is designed to help managers in running a home and managing the staff. There are regular meetings held for the residents and for their families, to discuss activities and menus in addition as to how the home is meeting their needs. The residents and the families spoken with told us that they saw her regularly on their Care Homes for Older People Page 25 of 29 Evidence: visits. We saw her being very supportive to a family and friends of a resident who was having end of life care. There were quality questionnaires sent to residents and their families every month and the questionnaires that we saw on the visit confirmed this. The families and the residents told us that they had completed the questionnaires. We saw the results of the questionnaires which were all found to be positive. We received positive comments from the residents and the families at the visit, amongst which were that the staff were very supportive of them and their relative. The residents accounts were found to be in order, but the residents were not able to access their accounts at the week-end. The manager told us that she would arrange for some monies to be available for the Nurse in charge to access. There was evidence from the staff spoken and from the records seen with that they are having regular formal supervision with their line manager. There are regular staff meetings held, confirmed by records held and by the staff spoken with. All the areas of health and safety such as hot water temperatures and fire drills and alarm testing were found to be in order. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 3 7 9 22 That all of the care plans are kept up to date That all of the medication received into the home are checked, recorded and signed for. That the residents are provided with individual slings for the hoist, to avoid incorrect sized slings being used and to minmise the risk of cross infection. That locks are fitted to the residents bedroom doors to allow them the option of locking their bedroom doors. That the manager makes sure that there are always sufficient staff to attend promptly to the residents needs. That money is made available at the week-ends to enable the residents to have access to their personal money if they wish to. 4 5 6 24 27 35 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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